How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $575.44 | Professional | None (both parts) | $288.40 | $436.52 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $42.66 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $416.87 Typical High $501.19 | Professional | TC · Technical part | $275.42 | $416.87 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $954.99 Typical High $1,819.70 | Professional | None (both parts) | $660.69 | $954.99 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $63.10 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $933.25 Typical High $1,621.81 | Professional | TC · Technical part | $645.65 | $933.25 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $3,467.37 | Facility | None | $1,148.15 | $1,737.80 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $758.58 | Professional | None (both parts) | $302.00 | $363.08 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $60.26 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $630.96 | Professional | TC · Technical part | $257.04 | $302.00 | $630.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $309.03 Median $630.96 Typical High $1,659.59 | Professional | None (both parts) | $309.03 | $630.96 | $1,659.59 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $47.86 | $74.13 | $141.25 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $537.03 Typical High $1,148.15 | Professional | TC · Technical part | $257.04 | $537.03 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $870.96 Typical High $1,905.46 | Professional | None (both parts) | $295.12 | $870.96 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $44.67 | $58.88 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $812.83 Typical High $1,819.70 | Professional | TC · Technical part | $446.68 | $812.83 | $1,819.70 |
Well Sense Setting Facility Modifier None Typical Low $245.47 Median $288.40 Typical High $389.05 | Facility | None | $245.47 | $288.40 | $389.05 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $218.78 Typical High $288.40 | Professional | 52 · Reduced service | $141.25 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $87.10 Typical High $114.82 | Professional | 53 · Discontinued | $57.54 | $87.10 | $114.82 |
Where New Hampshire sits
The same service costs 4.8 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Hampshire· 10th of 51
$708
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.